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* - � ` CITY OF ORONO PERMIT NO.: 2010-01167 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 12/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1805 SIXTH AVE N <br /> ; PIN : 27-118-23-41-0002 <br /> , LEGAL DESC : UNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 24,000.00 . <br /> NOTE: TEAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT pERMIT FEE SCHEDULE 398.25 <br /> NORTHERN EXPOSURE EXT INC. STATE SURCHARGE(VALUATION) 12.00 <br /> 9097 S HWY DR TOTAL 410.25 <br /> LEXINGTON;MN 55014 <br /> (763)783-1121 <br /> Minnesota State License#: 20527650 <br /> OWNER <br /> MIGAULT,LAURENT&DORETTE <br /> 1805 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> ' The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This,permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if consuuction is <br /> suspended for a period of 180 days at any time after work has commenced <br /> The applicant is responsi for assuring all required inspections aze <br /> requested i orm e ith the State Building Code.This permit may be <br /> revoked a any ti e f e cause. <br /> I 1-/ � / f� C(�� oZl D /l /d <br /> Applican rmitee Signature Date Issu $y Si gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />